Prevalence of hypertension and associated factors in people living with HIV at Senkatana Clinic Maseru.

IF 1.7 Q4 PRIMARY HEALTH CARE
Mosa S M Selebalo, Benjamin J Bryden, David M Thompson, Jill E Sanders
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Abstract

Background:  Cardiovascular diseases (CVDs), including hypertension (HTN), have emerged among people living with HIV (PLHIV) as the most important prevalent contributors of non-AIDS-related mortality. Moreover, HTN itself is a modifiable risk factor for other CVDs. Data are limited regarding the prevalence of HTN and associated factors among PLHIV in Lesotho.

Aim:  To determine the prevalence of HTN and associated factors among PLHIV attending Senkatana ART Clinic.

Setting:  The study was carried out at Senkatana ART Clinic in urban Maseru, Lesotho.

Methods:  A cross-sectional study was conducted from February to July 2022. Data were analysed using SAS statistical software (v9.4) and Microsoft Excel. To determine HTN prevalence, blood pressure (BP) was measured, and a questionnaire was administered to participants who were randomly selected using the lottery method from the clinic's daily attendance list. Multiple logistic regression was used to assess factors associated with HTN in PLHIV while controlling for potentially confounding factors.

Results:  The prevalence of HTN was 57% (exact 95% CI: 51.2%, 62.7%). Of those with HTN, 33.3% were newly diagnosed during this study (exact 95% CI: 26.3%, 40.9%), while 69% of those previously diagnosed with HTN had uncontrolled HTN at enrollment (exact 95% CI: 60.0%, 77.6%). Age older than 50 years (p  0.0001) and a body mass index (BMI) of 25.0 kg/m2 or higher (p  0.0002) were independently associated with HTN.

Conclusion:  Hypertension was highly prevalent and poorly controlled. Factors associated with HTN in PLHIV were older age and higher BMI. The study's findings support models of comprehensive healthcare delivery.

马塞卢Senkatana诊所艾滋病毒感染者高血压患病率及相关因素
背景:心血管疾病(cvd),包括高血压(HTN),已经出现在艾滋病毒感染者(PLHIV)中,成为非艾滋病相关死亡的最重要的流行因素。此外,HTN本身是其他心血管疾病的一个可改变的风险因素。关于莱索托艾滋病毒感染者中HTN患病率和相关因素的数据有限。目的:了解在Senkatana ART诊所就诊的hiv感染者中HTN的流行情况及其相关因素。环境:研究在莱索托城市马塞卢的Senkatana ART诊所进行。方法:于2022年2月至7月进行横断面研究。采用SAS统计软件(v9.4)和Microsoft Excel对数据进行分析。为了确定HTN的患病率,测量了血压(BP),并对从诊所每日就诊名单中随机选择的参与者进行了问卷调查。在控制潜在混杂因素的同时,采用多元逻辑回归评估与hiv患者HTN相关的因素。结果:HTN的患病率为57%(精确95% CI: 51.2%, 62.7%)。在HTN患者中,33.3%是在本研究期间新诊断的(精确95% CI: 26.3%, 40.9%),而69%先前诊断为HTN的患者在入组时未控制HTN(精确95% CI: 60.0%, 77.6%)。年龄大于50岁(p 0.0001)和体重指数(BMI) 25.0 kg/m2或更高(p 0.0002)与HTN独立相关。结论:高血压高发,控制不佳。与PLHIV患者HTN相关的因素是年龄较大和BMI较高。研究结果支持了综合医疗服务模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
15 weeks
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